浅谈叶天士“阳化内风”学说

On Ye Tianshi's Theory of "Yang Hyperactivity-Induced Inner Wind"

叶天士"阳化内风"学说认为,中风的病机是阳气亢动和阴液耗伤,倡导中风病"介以潜之,酸以收之,厚味以补之"的法则。治疗上灵活运用经方,去其温燥伤阴之品,多以甘酸、甘寒养肝肾之液,制亢动之阳,同时注重阳明厥阴同治之法,泄木安胃。逐渐形成了以肝肾阴虚为核心病机,通过滋养肝肾、柔肝熄风和诸多配合法来治疗中风病的新思路。

Ye Tianshi＇s Theory of＂Yang Hyperactivity-Induced Inner Wind＂proposes that the pathogenesis of Stroke is the Yang hyperactivity and Yin deficiency within humanbody.Therefore he advocated the treatment law or principle of Stroke is to conceal human＇s Yang activitity with drug of shell category,to restrain human＇s Yang activitity with drug with sour flavor,and to tonify human＇s Yin with nutritious food.In clinical practices,classical prescriptions should be applied flexibly.By taking out the drugs which are warm or hot in character and may injure Yin aspect of human,and by adding the drugs which are of sweet or sour taste and cold nature,patients＇Yang hyperactivity would be controlled and reasonably regulated.At the same time,regulating the function of Stomach and Liver should be used in medication by decreasing the Liver Fire to improve the performance of Stomach.In this way,a new treatment approach of Stroke,the key pathogenesis of which is Liver and Kindney Yin Deficiency,has been worked out,with the specific method being nourishing Liver and Kidney,tonifying Liver by dispelling inner Wind,and others.